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The Zone Youth Information Form
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YOUTH INFORMATION FORM
YOUTH INFORMATION FORM
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Name
Age
Birthday
Grade
My Email
*
My Phone
My Address
*
Parent or Guardian Name
*
Parent or Guardian Phone
*
Parent or Guardian Email
*
Check All that Apply
Hispanic
Mexican
Asian
White
Native-American
African-American
Alaskan-Native
Other
Do you qualify for free or reduced lunch?
Yes
No
Do you have any medical conditions?
Please let us know if you have Asthma, Allergies, Diabetes, or another condition.
Please list if you have any Allergies
Your Favorite Subject in School
What do you like to do for fun?
Favorite Candy
Favorite Chips
Favorite Drink
Email
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